Ke kūlou nei ʻoe i mua ke kū ʻoe no ka manawa lōʻihi a hele paha no nā mamao pōkole ma muli o ka ʻeha o ke kua? A i ʻole he ʻano ʻūlū a ʻeha paha kou e pālahalaha ana mai kou ʻāʻī a i lalo o kou mau lima? Manaʻo ka poʻe he ʻāpana maʻamau kēia o ka ʻelemakule, akā i kekahi manawa ua hana ʻia e kahi aʻalolo i ʻoki ʻia i loko o ka iwi kuamoʻo. I ka lāʻau lapaʻau, kapa mākou i kēia he stenosis spinal. Mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.
He aha ka Spinal Stenosis?
I ka ʻōlelo maʻalahi, ʻo ka spinal stenosis ka hoʻohaiki ʻana o ka hakahaka i loko o ko kākou iwi kuamoʻo. E noʻonoʻo i ko kākou iwi kuamoʻo e like me ke ʻano o nā apo (i kapa ʻia he vertebrae) i hoʻopaʻa ʻia ma luna o kekahi. Loaʻa i kēlā me kēia apo kahi hakahaka ma waena, e like me kahi tunnel. Ua kapa ʻia kēia tunnel ʻo ke kahawai spinal . ʻO ke kaula spinal, kahi ʻāpana koʻikoʻi o ko kākou kino, a me nā aʻalolo e lālā ana mai ia mea, e hele ana ma o kēia tunnel.
E noʻonoʻo e pili ana i ia mea, he aha ka mea e hana ʻia inā e emi ana kēia tunnel no kekahi kumu? E like me ka wā e paʻa ai kahi paipu wai, e emi ana ka hakahaka no ke kahe ʻana o ka wai, i ka wā e emi ai kēia kahawai kuamoʻo, ʻaʻohe lawa ka hakahaka no ke kaula kuamoʻo a me nā aʻalolo i loko. A laila hoʻomaka kēlā mau aʻalolo e ʻomi, ʻūmiʻi, a kaomi ʻia. Ma muli o kēlā ʻūmiʻi ʻana e loaʻa ai iā mākou nā hōʻailona e like me ka ʻeha hope a me ka ʻeha e iho ana i nā wāwae (sciatica).
ʻOiai hiki ke loaʻa kēia maʻi i kēlā me kēia makahiki, ʻoi aku ka maʻamau i waena o ka poʻe ma luna o 50 mau makahiki .
ʻO wai nā ʻāpana o ka iwi kuamoʻo i hoʻopilikia nui ʻia e kēia maʻi?
ʻIke pinepine ʻia kēia ʻūlū aʻalolo ma nā wahi ʻelua o ka iwi kuamoʻo:
- ʻO ka Lumbar Spinal Stenosis: He kūlana e kū mai ana ma nā vertebrae ʻelima o lalo (L1-L5) o ko kākou iwi kuamoʻo. ʻO kēia ke ʻano maʻamau o ka ʻeha hope.
- ʻO ka Cervical Spinal Stenosis: Hiki i kēia kūlana ke hana i nā vertebrae ʻehiku (C1-C7) i loko o ko mākou ʻāʻī.
Ma waho aʻe o kēia mau mea ʻelua, hiki ke loaʻa kēia ʻano ma waenakonu o ka iwi kuamoʻo, ʻo ia hoʻi, ma ka pae iwi kuamoʻo thoracic. Eia naʻe, he mea kakaikahi loa ia.
He aha nā hōʻailona o kēia?
Hoʻomohala pinepine ka stenosis spinal i ka lohi i ka hala ʻana o ka manawa. No laila, ʻoiai hiki ke ʻike ʻia ma kahi X-ray, ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona i nā pae mua. Hiki ke ʻokoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka. I kekahi mau lā, ʻoi aku ka ʻino, aʻo kekahi mau lā e ʻoi aku ka maikaʻi.
Ma keʻano laulā, ma muli o kahi i ʻoki ʻia ai ke aʻalolo, hiki iā ʻoe ke manaʻo i nā mea e like me kēia ma kou ʻāʻī, kua, lima, wāwae, poho lima, a i ʻole nā kapuaʻi o kou mau wāwae:
- ʻEha
- Māʻule
- Me he uila lā(ʻUmiʻumi / "nā kui a me nā nila")
- Nāwaliwali
E nānā kākou pehea e ʻokoʻa ai nā hōʻailona i nā hihia o ka stenosis spinal a me ka ʻāʻī.
| ʻAno o ka hōʻailona | Wehewehena |
|---|---|
| Nā Hōʻailona o ka Lumbar Spinal Stenosis | |
| ʻEha hope | ʻEha ma ke kua lalo. |
| ʻEha e hele ana i lalo i nā wāwae | ʻEha e hoʻomaka ana ma ka puʻupuʻu a hele i lalo i ka wāwae, i kekahi manawa a hiki i ka kapuwaʻi o ka wāwae. |
| Ke kaumaha a me ka ʻūlū ma nā wāwae | Ke kaumaha o nā wāwae, me ka manaʻo e mae ana kou mau wāwae ma hope o ka hele wāwae ʻana no kekahi manawa pōkole, a me nā ʻūmiʻi. |
| Māʻule | Ke ʻūlū a i ʻole ke ʻano o nā nalo e holo ana ma nā puʻupuʻu, nā wāwae, a i ʻole nā kapuwaʻi. |
| Nā manawa e hoʻonui ai a emi ai ka ʻeha | Hoʻonui ʻia ka ʻeha i ke kū ʻana no ka manawa lōʻihi, ka hele wāwae ʻana, a i ʻole ka iho ʻana i lalo o ka puʻu. Hoʻemi ʻia ka ʻeha i ke kūlou ʻana i mua, ka noho ʻana ma luna o ka noho, a i ʻole ka piʻi ʻana i nā alapiʻi/puʻu. (No ka laʻana, ʻo ke kūlou ʻana i mua, e like me ke kaomi ʻana i kahi kaʻa ma ka hale kūʻai nui, e hōʻemi ana i ka ʻeha o ke kua.) |
| Nā Hōʻailona o ka Stenosis Spinal Cervical | |
| ʻEha ʻāʻī | ʻEha ʻāʻī. |
| Ka mae a me ka nāwaliwali | Ke ʻano o ka ʻūlū a i ʻole ka nāwaliwali ma nā lima, nā lima, nā wāwae, a i ʻole nā kapuwaʻi. |
| Nā pilikia me ke kaulike o ke kino | Ka paʻakikī i ka mālama ʻana i ke kaulike i ka wā e hele ana. |
| Nā pilikia me nā mākau motika maikaʻi o nā lima | Ka paʻakikī e hana i nā hana maikaʻi e like me ke kākau lima ʻana, ke pihi ʻana i kahi pālule, a i ʻole ka paʻa ʻana i ke kīʻaha. |
No ke aha e hana ai ka spinal stenosis?
ʻElua mau ʻano kumu nui no kēia.
1. Nā kumu i loaʻa: ʻO kēia ke kumu maʻamau. Hiki mai kēia kūlana ma muli o nā loli i loko o ko mākou kino ("ʻaʻahu a me ka waimaka") e kū mai ana me ka ʻelemakule.
2. Nā kumu hānau: Hānau ʻia kekahi poʻe me kahi kahawai iwi kuamoʻo i haiki. He mea kākaʻikahi loa kēia.
Nā kumu nui e kū mai ana me ka ʻelemakule (Nā Kumu i Loaʻa)
- Ka Ulu Nui ʻana o ka Iwi: I ko kākou ʻelemakule ʻana, nāwaliwali ko kākou mau hono. Ua kapa ʻia kēia he osteoarthritis. Ke nāwaliwali nā hono o ka iwi kuamoʻo, pane ke kino ma ka ulu ʻana o ka iwi hou. Hiki i kēia mau iwi hou ke ulu i loko o ke kahawai iwi kuamoʻo a kaomi i nā aʻalolo.
- Nā diski ʻōpuʻu a herniated paha: Ma waena o kēlā me kēia vertebra i loko o ko kākou iwi kuamoʻo, aia kahi uluna e like me ka jelly. Kāhea mākou i kēia mau diski. I ko kākou ʻelemakule ʻana, lilo kēia mau diski i maloʻo, palahalaha, a hiki ke hoʻomohala i nā māwae i ko lākou mau paia. A laila hiki i ka ʻāpana e like me ka jelly i loko ke puʻupuʻu i waho (disc bulging a herniated paha) a kaomi i nā aʻalolo.
- Ka mānoanoa o nā ligaments: ʻO nā ligaments nā ʻano like me ke kāʻei e hoʻopili ai i ko kākou iwi kuamoʻo. Ma muli o nā kūlana e like me ka arthritis, hiki i kēia mau ligaments ke mānoanoa i ka hala ʻana o ka manawa a puʻupuʻu i loko o ke kahawai iwi kuamoʻo, e hōʻemi ana i kahi no nā aʻalolo.
- Nā ʻeha i ka iwi kuamoʻo: Hiki ke hoʻololi ʻia kēia kahawai ma muli o kahi ulia e like me ka haki a i ʻole ka ʻeha i ka iwi kuamoʻo.
- Nā puʻupuʻu: He mea pinepine ʻole, hiki i kahi puʻupuʻu i loko a puni paha o ka iwi kuamoʻo ke hana i ke kaomi ʻana o ke aʻalolo.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i ke kauka me kēia mau hōʻailona, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. A laila e hana ʻo ia i kahi hoʻokolokolo kino. E kulou ʻo ia i kou iwi kuamoʻo i nā ʻaoʻao like ʻole a e nānā i ke ʻano o ka ʻeha.
Eia kekahi, hiki iā mākou ke paipai i kekahi mau hoʻokolohua e ʻike i ka pilikia:
- X-ray o ka iwi kuamoʻo: Hiki i kēia ke ʻike i nā loli i nā iwi, ka nalowale o ke kiʻekiʻe o ka disc, a me nā iwi spurs.
- MRI scan (Magnetic Resonance Imaging): ʻO kēia ke ala maikaʻi loa e ʻike pono ai i nā mea palupalu e like me nā aʻalolo, nā discs, a me ke kaula spinal.
- CT scan (Computed Tomography): He hoʻāʻo kēia e hāʻawi ana i nā kiʻi kikoʻī ma mua o kahi X-ray. I kekahi manawa, hiki ke hana ʻia kahi CT myelogram, kahi e hoʻohana ai i kahi wai kūikawā (contrast dye).
He aha nā lāʻau lapaʻau no kēia?
Ke lohe ka poʻe i ka inoa, manaʻo pinepine lākou, "Auē, pono anei au e hana ʻoki?" Akā, ʻaʻole pono nā kānaka a pau me ka stenosis spinal i ke ʻoki. Hiki i nā kānaka he nui ke hoʻomaikaʻi me nā lāʻau lapaʻau ʻoki ʻole. ʻO ka lāʻau lapaʻau maikaʻi loa nou e pili ana i ke koʻikoʻi o kāu mau hōʻailona, kahi o ka pilikia, a me ke kumu.
| ʻAno lapaʻau | Wehewehena |
|---|---|
| Nā Lapaʻau ʻAʻole ʻoki kino | |
| Nā mea hiki iā ʻoe ke hana ma ka home | Nā ʻeke wela/anu, nā hoʻoikaika kino kūpono e like me ke kuhikuhi a ke kauka. |
| Nā lāʻau lapaʻau | Nā NSAID e hōʻemi i ka ʻeha a me ka pehu. I kekahi manawa nā lāʻau lapaʻau e like me gabapentin no ka ʻeha o ke aʻalolo. Akā e hoʻomanaʻo, pono ʻoe e nīnau mau i kāu kauka ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau. |
| Hoʻōla kino | E hāʻawi i ke kākoʻo maikaʻi i ka iwi kuamoʻo ma o nā hoʻomaʻamaʻa e hoʻoikaika ai i nā ʻiʻo o ke kua a me ka ʻōpū. E hoʻomaʻamaʻa i nā kūlana hele wāwae e hōʻemi ai i ke kaomi ma luna o nā aʻalolo. |
| Nā inikini Steroid | Nā inikini i hāʻawi ʻia e hōʻemi i ka pehu a me ka ʻeha a puni ke aʻalolo i ʻoki ʻia. |
| ʻoki kino | |
| I ka manawa hea e ʻōlelo ʻia ai ke ʻoki kino? | Hoʻoholo wale ʻia ke ʻoki kino ke holo pono ʻole nā lāʻau lapaʻau ʻē aʻe a ua koʻikoʻi loa nā hōʻailona. |
| Nā ʻano hana nui | Laminectomy: Ke wehe nei i kahi ʻāpana o ka vertebra e hāʻawi i kahi ākea no nā aʻalolo. Spinal Fusion: Inā paʻa ʻole ka iwi kuamoʻo, e hoʻohui i ʻelua mau iwi kuamoʻo. Manaʻo ʻia kēia he koho hope loa. |
Aia kekahi mau ala e pale aku ai i kēia kūlana?
ʻOiai ʻaʻole hiki iā kākou ke hoʻōki loa i ke kaʻina hana ʻelemakule, aia kekahi mau mea hiki iā kākou ke hana e mālama i ko kākou iwi kuamoʻo i ke olakino. Hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka pilikia o ka spinal stenosis a i ʻole ke kāohi i kona holomua.
- ʻAi olakino: E ʻai i nā meaʻai waiwai i ka calcium e hoʻoikaika ai i nā iwi.
- Ka mālama ʻana i ke kaumaha olakino: Ke piʻi nei ke kaumaha o ke kino, piʻi pū ke kaomi ma ka iwi kuamoʻo.
- E pale i ka puhipaka: Hoʻopōʻino ka puhipaka i ko mākou mau kīʻaha koko, hiki ke hoʻonui i ka ʻeha kua.
- Ka mālama ʻana i ke kūlana kūpono: He mea nui loa ia e mālama pono i kou kua i ka wā e noho ana, kū ana, a hāpai ana i nā mea kaumaha.
- Hoʻoikaika kino mau: ʻO nā hoʻomaʻamaʻa e hoʻoikaika ai i ke kua a me nā ʻiʻo koʻikoʻi, ʻoiai nā ʻiʻo ʻōpū, hiki ke kōkua i ka mālama ʻana i ke olakino o ka iwi kuamoʻo.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe ka ʻeha hou ma ke kua a i ʻole ka ʻāʻī, me ka mae ʻole a nāwaliwali paha i kou mau lima a i ʻole nā wāwae, e ʻike pono i ke kauka. Inā ʻoe e lawe nei i nā lāʻau lapaʻau a ʻaʻole lākou e kōkua, e ʻike i kāu kauka e kūkākūkā i nā koho ʻē aʻe.
Pōpilikia!
Inā loaʻa koke iā ʻoe ka hiki ʻole ke hoʻōki i ka mimi, a inā paha ʻoe e manaʻo nei ua mae nā wāwae ʻelua, he pilikia ia. I kēlā hihia , e hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
Hiki i ka ʻeha o ke kua a me ka ʻāʻī ke lilo i mea keakea nui i ko kākou ola o kēlā me kēia lā. Akā ʻo ka nūhou maikaʻi, he nui nā lāʻau lapaʻau kūpono no ia. No laila, ma kahi o ka hoʻowahāwahā ʻana i nā hōʻailona, e kamaʻilio me kāu kauka e ʻimi i ka hopena e kūpono loa iā ʻoe.
Leka Lawe-Home
- ʻO ka spinal stenosis ka hāiki ʻana o ke kahawai spinal e hana ʻia me ka makahiki.
- ʻO nā hōʻailona nui ka ʻeha, ka maneo, a me ka nāwaliwali ma ke kua, ʻāʻī, nā lima, a i ʻole nā wāwae.
- I nā hihia o ka stenosis ma ke kua i lalo, ʻo kahi hōʻailona maʻamau ka emi ʻana o ka ʻeha i ka wā e kūlou ana i mua.
- Hiki i nā poʻe he nui ke hoʻokō i nā hopena maikaʻi me nā lāʻau lapaʻau ʻoki ʻole, e like me ka hoʻoikaika kino, ka hoʻoikaika kino, a me ka lāʻau lapaʻau.
- Pono wale nō ke ʻoki ʻana i nā hihia koʻikoʻi i pane ʻole i nā lāʻau ʻē aʻe.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike pono i ke kauka no ka hōʻoia kūpono a me ka mālama ʻana.
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